Active NPI
Vanessa Marie Medina, M.D.
- Diagnostic Radiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- S3712
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- NPI assigned
- Apr 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | S3712 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr # Ms 01W256
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other practice location 1
2401 S 31st St
Ms-01-W256
Temple, TX 76508-0001
Phone (254) 724-4507
Other practice location 2
4250 Hospital Dr
Marianna, FL 32446-1917
Phone (850) 526-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 414497401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical Branch at Galveston, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Alton Gloor Blvd
Brownsville, TX 78526-3328
Phone (888) 264-0330
101 E Ridge Rd
McAllen, TX 78503-1847
Phone (888) 264-0330
101 E Ridge Rd B
HCA Rio Grande RGRH Imaging Center Op
McAllen, TX 78503-1848
Phone (956) 668-6900
215 Chisholm TRL
Jacksboro, TX 76458-1403
Phone (888) 264-0330
6761 Pecan Chase LN
Frisco, TX 75034-0726
Phone (888) 264-0330
Hospital & facility affiliations
- Rio Grande Regional Hospital
- Valley Regional Medical Center
- Doctors Hosptal at Renaissance
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.18 of 100
- Quality
- 85.58
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Services-Gadsden Physician Management LLC | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Concord Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Diagnostic Radiology | Current | Accepting new patients |
| Texas Health Care Mobile Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Coaxion PLLC | Diagnostic Radiology | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Diagnostic Radiology | Current | Accepting new patients |
| Texas Health Care Mobile Imaging | Current | Accepting new patients | |
| Texas Health Care Mobile Imaging | Current | Accepting new patients | |
| Texas Health Care Mobile Imaging | Current | Accepting new patients | |
| ER Physician Group at Jackson Hospital | Past | Accepting new patients | |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
303 Bay St
Ste 401
Gadsden, AL 35901
Phone (256) 413-6591
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
608 Avenue B
Ballinger, TX 76821
Phone (325) 365-2531
1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845
6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092
215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528
101 E Ridge Rd
Ste B
McAllen, TX 78503
Phone (956) 632-6000
101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000
8595 Medical Center Blvd
Port Arthur, TX 77640
Phone (409) 721-8600
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
4502 Medical Dr
#1W256
San Antonio, TX 78229
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
Interoperability endpoints
- https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1629805221
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1598260515
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Diagnostic Radiology
-
- Family Medicine Physician
- Gadsden, AL
- NPI 1356731467
-
- Radiology Clinic/Center
- Harlingen, TX
- NPI 1285518613
-
- Radiology Clinic/Center
- Weslaco, TX
- NPI 1427295468
-
- Radiology Clinic/Center
- Mission, TX
- NPI 1447008727
Diagnostic Radiology
-
- Radiology Clinic/Center
- Brownsville, TX
- NPI 1841080561
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
Diagnostic Radiology
-
- Specialist
- Houston, TX
- NPI 1437242617
-
- General Practice Physician
- Marianna, FL
- NPI 1407801194
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McAllen, TX
- NPI 1619924719
-
- General Acute Care Hospital
- Brownsville, TX
- NPI 1043267701
-
- General Acute Care Hospital
- Edinburg, TX
- NPI 1053317362
-
- Transplant Surgery Physician
- McAllen, TX
- NPI 1104338052
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1871989780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR # MS 01W256",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St",
"address_2": "MS-01-W256",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "254-724-4507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4250 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Marianna",
"state": "FL",
"postal_code": "324461917",
"country_code": "US",
"telephone_number": "850-526-2200",
"fax_number": "850-718-2844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "VANESSA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-08",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "S3712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "414497401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.